If someone developped gynecomastia on propecia and if the condition resolves after stopping the medication. Would you restart Propecia in combination with an aromatase inhibitor (i.e. Arimidex) to prevent gynecomastia in that patient or would recommend to avoid Propecia ?

Thanks

I would think that may be an option. From my personal and clinical experience, I have not put any of my patients on Arimidex (anastrozole), as gynecomastia is very rare. The one patient I recall complained of breast tenderness (there wasn’t much breast tissue growth/enlargement) decided to stop taking Propecia and the condition reversed. Real breast enlargement could be treated surgically in some patients, but you should take that up with your doctor.

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